Public Health Emergency Preparedness and Response Capabilities

Total Page:16

File Type:pdf, Size:1020Kb

Public Health Emergency Preparedness and Response Capabilities Public Health Emergency Preparedness and Response Capabilities National Standards for State, Local, Tribal, and Territorial Public Health Centers for Disease October 2018 Control and Prevention Center for Preparedness Updated January 2019 and Response Table of Contents Introduction . 1. Public Health Emergency Preparedness Cooperative Agreement Program..........................2 Capability Update Initiative ....................................................................3 Using the Capability Standards for Strategic Planning . .7 Public Health Emergency Preparedness and Response Capabilities Planning Model .................7 Phase 1: Assess Current State ...................................................................8 Phase 2: Determine Strategies and Activities.....................................................9 Phase 3: Develop Plans........................................................................10 At-A-Glance: Capability Definitions, Functions, and Summary of Changes . .11 Capability 1: Community Preparedness.........................................................11 Capability 2: Community Recovery.............................................................12 Capability 3: Emergency Operations Coordination ..............................................12 Capability 4: Emergency Public Information and Warning ........................................13 Capability 5: Fatality Management ............................................................13 Capability 6: Information Sharing ..............................................................14 Capability 7: Mass Care .......................................................................14 Capability 8: Medical Countermeasure Dispensing and Administration ............................15 Capability 9: Medical Materiel Management and Distribution ....................................15 Capability 10: Medical Surge ..................................................................16 Capability 11: Nonpharmaceutical Interventions.................................................16 Capability 12: Public Health Laboratory Testing .................................................17 Capability 13: Public Health Surveillance and Epidemiological Investigation .......................17 Capability 14: Responder Safety and Health ....................................................18 Capability 15: Volunteer Management..........................................................18 U.S. Department of Health and Human Services Public Health Emergency Preparedness and Response Capabilities: Centers for Disease Control and Prevention National Standards for State, Local, Tribal, and Territorial Public Health iii Table of Contents Capability 1: Community Preparedness . 19 Function 1: Determine risks to the health of the jurisdiction..................................... 20 Function 2: Strengthen community partnerships to support public health preparedness .......... 22 Function 3: Coordinate with partners and share information through community social networks ..............................................................................24 Function 4: Coordinate training and provide guidance to support community involvement with preparedness efforts ....................................................... 25 Capability 2: Community Recovery . 27. Function 1: Identify and monitor community recovery needs . 28 Function 2: Support recovery operations for public health and related systems for the community .......................................................................... 29 Function 3: Implement corrective actions to mitigate damage from future incidents ...............32 Capability 3: Emergency Operations Coordination . 34 Function 1: Conduct preliminary assessment to determine the need for activation of public health emergency operations ....................................................... 34 Function 2: Activate public health emergency operations....................................... 36 Function 3: Develop and maintain an incident response strategy ................................ 39 Function 4: Manage and sustain the public health response..................................... 39 Function 5: Demobilize and evaluate public health emergency operations ........................41 Capability 4: Emergency Public Information and Warning . .43 . Function 1: Activate the emergency public information system.................................. 43 Function 2: Determine the need for a Joint Information System . 46 Function 3: Establish and participate in information system operations ...........................47 Function 4: Establish avenues for public interaction and information exchange................... 48 Function 5: Issue public information, alerts, warnings, and notifications.......................... 50 Capability 5: Fatality Management . 52 Function 1: Determine the public health agency role in fatality management .....................53 Function 2: Identify and facilitate access to public health resources to support fatality management operations...............................................................55 Function 3: Assist in the collection and dissemination of antemortem data ....................... 58 Function 4: Support the provision of survivor mental/behavioral health services...................59 Function 5: Support fatality processing and storage operations ................................. 60 Public Health Emergency Preparedness and Response Capabilities: U.S. Department of Health and Human Services iv National Standards for State, Local, Tribal, and Territorial Public Health Centers for Disease Control and Prevention Table of Contents Capability 6: Information Sharing . 62 Function 1: Identify stakeholders that should be incorporated into information flow and define information sharing needs ................................................... 63 Function 2: Identify and develop guidance, standards, and systems for information exchange ....................................................................... 64 Function 3: Exchange information to determine a common operating picture .....................67 Capability 7: Mass Care . 70 Function 1: Determine public health role in mass care operations ................................71 Function 2: Determine mass care health needs of the impacted population ...................... 72 Function 3: Coordinate public health, health care, and mental/behavioral health services ..........75 Function 4: Monitor mass care population health .............................................. 78 Capability 8: Medical Countermeasure Dispensing and Administration . 80 Function 1: Determine medical countermeasure dispensing/administration strategies..............81 Function 2: Receive medical countermeasures to be dispensed/administered..................... 84 Function 3: Activate medical countermeasure dispensing/administration operations.............. 86 Function 4: Dispense/administer medical countermeasures to targeted population(s) ............. 88 Function 5: Report adverse events . 90 Capability 9: Medical Materiel Management and Distribution . 92 Function 1: Direct and activate medical materiel management and distribution .................. 93 Function 2: Acquire medical materiel from national stockpiles or other supply sources ............ 97 Function 3: Distribute medical materiel ....................................................... 99 Function 4: Monitor medical materiel inventories and medical materiel distribution operations ..................................................................... 100 Function 5: Recover medical materiel and demobilize distribution operations ................... 101 Capability 10: Medical Surge . 103 Function 1: Assess the nature and scope of the incident ....................................... 104 Function 2: Support activation of medical surge .............................................. 106 Function 3: Support jurisdictional medical surge operations ................................... 109 Function 4: Support demobilization of medical surge operations ................................110 U.S. Department of Health and Human Services Public Health Emergency Preparedness and Response Capabilities: Centers for Disease Control and Prevention National Standards for State, Local, Tribal, and Territorial Public Health v Table of Contents Capability 11: Nonpharmaceutical Interventions . 112. Function 1: E ngage partners and identify factors that impact nonpharmaceutical interventions ...............................................................................113 Function 2: Determine nonpharmaceutical interventions . .114 Function 3: Implement nonpharmaceutical interventions .......................................115 Function 4: Monitor nonpharmaceutical interventions..........................................118 Capability 12: Public Health Laboratory Testing . 120 Function 1: C onduct laboratory testing and report results . 121 Function 2: Enhance laboratory communications and coordination ..............................124 Function 3: Support training and outreach ....................................................126 Capability 13: Public Health Surveillance and Epidemiological Investigation . 128 Function 1: C onduct or support public health surveillance ..................................... 129 Function 2: Conduct public health and epidemiological investigations ..........................132 Function 3: Recommend, monitor, and analyze mitigation actions ...............................135
Recommended publications
  • Evidence from Sales of Emergency Supplies Before and After Hurricanes†‡
    Disaster preparedness and disaster response: Evidence from †‡ sales of emergency supplies before and after hurricanes Timothy K.M. Beatty§, Jay P. Shimshack**, Richard J. Volpe†† May 2018 ABSTRACT Government information warns households to acquire emergency supplies as hurricanes threaten and directs households to stay off roads after hurricanes make landfall. Do households follow this advice? If so, who, when, and how much? We provide novel evidence. We combine forecast and landfall data for U.S. hurricanes between 2002 and 2012 with extensive scanner data on sales of bottled water, batteries, and flashlights. We find that sales of emergency supplies increase when a location is threatened by hurricane. The bulk of the sales increases occur immediately prior to forecasted landfall. The average increase in sales after landfall is large and statistically significant. Observed emergency preparation as hurricanes threaten is moderately higher in coastal, wealthier, and whiter areas. Ex-post emergency responses after hurricanes make landfall are sharply higher in African American, lower income, and less educated areas. Our results suggest that households do not follow government advice. KEYWORDS: Natural Disasters, Hurricanes, Emergency Supplies, Information, Advisories JEL CODES: H84, Q54, D12, Q58 THIS DOCUMENT CONTAINS APPENDICES INTENDED FOR REVIEW AND ONLINE POSTING. † Evidence is calculated (or derived) based on data from The Nielsen Company (US), LLC and marketing databases provided by the Kilts Center for Marketing Data Center at The University of Chicago Booth School of Business and via Third Party Agreement with the U.S. Department of Agriculture. The views in this paper are not attributable to USDA. The conclusions drawn from the Nielsen data are those of the researchers and do not reflect the views of Nielsen.
    [Show full text]
  • Challenges and Considerations in Disaster Research
    SAMHSA Disaster Technical Assistance Center Supplemental Research Bulletin: Challenges and Considerations in Disaster Research January 2016 ∙ INTRODUCTION Disaster research allows professionals in the field to advance existing preparedness, response, and recovery practices. It is important to study the impact of disasters on behavioral health to identify the emergence of psychopathology and to develop mental health interventions to prevent or mitigate the traumatic effect. However, this specific type of research comes with many ethical and methodological challenges that may dissuade or hinder its execution, such as funding and timing constraints, environmental concerns, risk for disaster survivors, and the public perception of conducting research during a time of distress (Knack et al., 2006). The primary dilemma faced by researchers is safely balancing the pursuit of answers to their questions with the serious and immediate needs of survivors (Benight et al., 2007). This issue of SAMHSA Disaster Technical Assistance Center’s Supplemental Research Bulletin, “Challenges and Considerations in Disaster Research,” addresses the ethical and operational concerns in research design, participant recruitment, data collection, and data interpretation during disaster research. The purpose of this issue is for researchers to learn about and anticipate procedural challenges that can only be overcome by prior planning, including having a research team properly trained in and prepared for the unique aspects of disaster research (Lavin et al., 2012). The following challenges and considerations will be discussed in this issue: 1. Risk-benefit analysis 2. Funding 3. Institutional Review Board approval 4. Participant recruitment 5. Informed consent 6. Emotional distress of participants 7. Participant tracking 8. Researcher safety and distress 9.
    [Show full text]
  • FEMA Developing and Maintaining Emergency Operations Plans
    Developing and Maintaining Emergency Operations Plans Comprehensive Preparedness Guide (CPG) 101 Version 2.0 November 2010 I am pleased to announce the release of Version 2.0 of Comprehensive Preparedness Guide 101: Developing and Maintaining Emergency Operations Plans. Comprehensive Preparedness Guide (CPG) 101 provides guidance for developing emergency operations plans. It promotes a common understanding of the fundamentals of risk-informed planning and decision making to help planners examine a hazard or threat and produce integrated, coordinated, and synchronized plans. The goal of CPG 101 is to assist in making the planning process routine across all phases of emergency management and for all homeland security mission areas. This Guide helps planners at all levels of government in their efforts to develop and maintain viable, all-hazards, all-threats emergency plans. Based on input from state, territorial, tribal, and local officials from across the United States, this update of CPG 101 expands on the fundamentals contained in the first version. With this edition, greater emphasis is placed on representing and engaging the whole community—to include those with access and functional needs, children, and those with household pets and service animals. Residents and all sectors of the community have a critical role and shared responsibility to take appropriate actions to protect themselves, their families and organizations, and their properties. Planning that engages and includes the whole community serves as the focal point for building a collaborative and resilient community. CPG 101 is the foundation for state, territorial, tribal, and local emergency planning in the United States. Planners in other disciplines, organizations, and the private sector, as well as other levels of government, may find this Guide useful in the development of their emergency operations plans.
    [Show full text]
  • A Nsw Public Health Laboratory Network
    A NSW PUBLIC HEALTH LABORATORY NETWORK John Rooney formerly Specialist Medical Adviser AIDS/Infectious Diseases Branch, NSW Health Department ROLES OF DESIGNATED PUBLIC hIEALTH LABORATORIES •Capacity to respond to Statewide public health his article outlines a proposal to establish a Public requirements, including outbreak investigations, in THealth Laboratory Network (PHLN) in NSW, designed conjunction with the N5W Health Department. to meet requirements for high quality public health • Policy development (e.g. as a result of changing laboratory services and laboratory expertise by building on patterns of antibiotic resistance). existing services and facilities. The proposed PHLN, with • Education (e.g. the development and updating of the State's network of Public Health Units and the NSW testing algorithms for general practitioners and public Health Department's AIDS/Infectious Diseases and health practitioners). Environmental Health, Food and Nutrition Branches, will • Providing a Statewide and/or national reference provide an integrated public health service for the laboratory function. surveillance and control of infectious diseases, and the • Coordinating the NSW contribution to State, national capacity to monitor the safety of food arid water and the risk and international laboratory networks to facilitate the of harm from exposure to toxic substances in the collation and analysis of epidemiological data. environment. • Analysis and reporting of Statewide data in conjunction with the NSW Health Department. The PHLN will comprise a network of public health • Providing advice on changes in technology and laboratories formally designated to provide specified opportunities for improved efficiency in the services. Individual laboratories will represent foci of laboratory contribution to public health Statewide expertise in specific public health areas, while in investigations.
    [Show full text]
  • The Year That Shook the Rich: a Review of Natural Disasters in 2011
    THE YEAR THAT SHOOK THE RICH: A REVIEW OF NATURAL DISASTERS IN 2011 The Brookings Institution – London School of Economics Project on Internal Displacement March 2012 Design: [email protected] Cover photo: © Thinkstock.com Back cover photos: left / © Awcnz62 | Dreamstime.com; right / © IOM 2011 - MPK0622 (Photo: Chris Lom) THE YEAR THAT SHOOK THE RICH: A REVIEW OF NATURAL DISASTERS IN 2011 By Elizabeth Ferris and Daniel Petz March 2012 PUBLISHED BY: THE BROOKINGS INSTITUTION – LONDON SCHOOL OF ECONOMICS PROJECT ON INTERNAL DISPLACEMENT Bangkok, Thailand — Severe monsoon floods, starting in late July 2011, affected millions of people. A truck with passengers aboard drives through a heavily flooded street. Photo: UN/Mark Garten TABLE OF CONTENTS Acronyms ................................................................................................................................. vi Foreword ................................................................................................................................. ix Executive Summary ................................................................................................................. xi Introduction .............................................................................................................................. xv Chapter 1 The Year that Shook the Rich ...................................................... 1 Section 1 Disasters in the “Rich” World, Some Numbers ............................................ 5 Section 2 Japan: The Most Expensive Disaster
    [Show full text]
  • Looting After a Disaster: a Myth Or Reality?
    Volume XXXI • Number 4 March 2007 Disaster Myths...Fourth in a Series Looting After a Disaster: A Myth or Reality? his special article in the Disaster Myths series pres- among those concerned with public safety and response Tents a point-counterpoint on the signifi cance and in disasters. prevalence of looting a� er disasters. Both authors were The fi rst author, E.L. Quarantelli, provides a his- asked to answer, independently, a series of questions, torical overview of looting in disaster research to help including whether looting a� er disasters is a myth, elucidate the myth. The fi ndings of previous disaster what evidence supports that opinion, what previous research are used to support the argument that looting, research has established about looting, and how the in fact, is not prevalent a� er disasters. In the end, there myths (and realities) about looting infl uence disaster is a lack of evidence showing that this behavior is com- planning and response. While the previous articles in monplace. This article can be found on page 2. this series were meant to help dispel disaster myths, As a counterpoint, Kelly Frailing focuses on the this article demonstrates the debate surrounding the events following Hurricane Katrina as evidence that controversial issue of looting and explores it in greater looting is not a myth, but a reality of disasters. This po- depth. Together these positions reveal the arguments sition is also supported by experience during previous and evidence for both sides of the debate. The editors events, such as Hurricane Betsy, and by crime statistics.
    [Show full text]
  • Understanding the Effects of Poor Sanitation on Public Health, the Environment and Well-Being Homa Bay County - Report of Research Findings
    Understanding the Effects of Poor Sanitation on Public Health, the Environment and Well-being Homa Bay County - Report of research findings June 2018 Kenya Country Office Ngong Lane, off Ngong Road P.O. Box 30776, 00100 Nairobi, Kenya Tel.: +254 724 463355 Email: [email protected] Executive Summary Poor sanitation is linked to diarrhoeal diseases, which are among the leading causes of morbidity and mortality in children under five. It is also associated with a number of infectious and nutritional outcomes which have great bearing on the health and well-being of the child. This study was conducted to gain more insights into the effects of poor sanitation on public health, the environment and well-being in Homa Bay County. The results of this case-control study show that the majority of adult respondents (the child’s caregiver) were females (85%), with the majority in both the case and control groups (41%) aged 30-39. A small proportion were aged under 19 (2.5% in the control group and 5.4% in the cases). A considerable proportion of respondents had basic education, with 27.5% of the control group and 31.3% of the case group having completed primary school and 18.9% and 15.8% in the control and cases categories respectively having completed secondary school. About 70% of the respondents lived in their own homes and about a quarter were renting (29% controls and 26.7% cases), with most of the homes being either one- or two- More bedroomed. The results suggest a potential link between household poverty and the respondents in incidence of child diarrhoea: the control group households had higher annual incomes than those in the case group and more control families were in the middle wealth the control had quintile than case families.
    [Show full text]
  • Glossary of Terms
    page GLO-1 Glossary of Terms Words, phrases, abbreviations, and acronyms relevant to emergency management should be defined. Many terms in emergency management have special meanings, so it is important to establish precise definitions. Such definitions allow the users of the EOP to share an understanding of the EOP. American Red The American Red Cross is a humanitarian organization, led by volunteers, that Cross provides relief to victims of disasters and helps people prevent, prepare for, and respond to emergencies. It does this through services that are consistent with its Congressional Charter and the Principles of the International Red Cross Movement. Attack A hostile action taken against the United States by foreign forces or terrorists, resulting in the destruction of or damage to military targets, injury or death to the civilian population, or damage or destruction to public and private property. Checklist Written (or computerized) enumeration of actions to be taken by an individual or organization, meant to aid memory rather than provide detailed instruction. Chief The official of the community who is charged with authority to implement and Executive administer laws, ordinances, and regulations for the community. He or she Official may be a mayor, city manager, etc. Community A political entity which has the authority to adopt and enforce laws and ordinances for the area under its jurisdiction. In most cases, the community is an incorporated town, city, township, village, or unincorporated area of a county. However, each State defines its own political subdivisions and forms of government. Contamination The undesirable deposition of a chemical, biological, or radiological material on the surface of structures, areas, objects, or people.
    [Show full text]
  • The Power of Public Health Surveillance Public Health Approach
    DOI: 10.32481/djph.2020.07.016 The Power of Public Health Surveillance Rick Hong, MD; Rebecca Walker, PhD, JD, MSN; Gregory Hovan; Lisa Henry, MHSA; Rick Pescatore, DO Delaware Division of Public Health Never has an emergency battered Delaware to such public health, economic, social, and emotional extremes like the one presented by coronavirus disease 2019 (COVID-19). Strict disease mitigation strategies were led by Governor John Carney’s March 22, 2020 State of Emergency declaration that closed non-essential businesses and schools, and included a Stay-at- Home order. As of June 11, 2020, the state is experiencing fewer hospitalizations and deaths due to COVID-19. The decreasing trends in the percentage of positive COVID-19 cases and hospitalizations1 were the result of many statewide infection control measures such as closures of non-essential businesses, use of face coverings, social distancing, general hand hygiene, and community testing. As Delaware reopens in phases, the Delaware Department of Health and Social Services, Division of Public Health (DPH) – the state’s lead health agency – is conducting public health surveillance. Case investigations and contact tracing have impacted disease transmission rates by identifying those needing isolation or quarantine. These measures will continue as our society moves towards normalcy. Public Health Approach Public health issues are diverse and dynamic, involving many significant public health threats such as infectious diseases, chronic diseases, emergencies, injuries, and environmental health problems.2 A public health concern should be addressed by one consistent approach, similar to an all-hazards response in disaster management regardless of the type of event (Figure 1).
    [Show full text]
  • (HB 3) the “Texas Pandemic Response Act”
    By:AABurrows H.B.ANo.A3 A BILL TO BE ENTITLED 1 AN ACT 2 relating to state and local government responses to a pandemic 3 disaster; creating a criminal offense. 4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 5 SECTIONA1.AASubtitle B, Title 4, Government Code, is amended 6 by adding Chapter 418A to read as follows: 7 CHAPTER 418A. PANDEMIC EMERGENCY MANAGEMENT 8 SUBCHAPTER A. GENERAL PROVISIONS 9 Sec.A418A.001.AASHORT TITLE. This chapter may be cited as 10 the Texas Pandemic Response Act. 11 Sec.A418A.002.AAPURPOSES. The purposes of this chapter are 12 to: 13 (1)AAreduce the vulnerability of residents and 14 communities in this state to damage, injury, and loss of life and 15 property resulting from a pandemic disaster; 16 (2)AAprepare for prompt and efficient care and 17 treatment of persons victimized or threatened by a pandemic 18 disaster; 19 (3)AAmaintain employment levels for state residents to 20 the extent possible; 21 (4)AAprotect and preserve individual liberties 22 guaranteed under the United States Constitution and the Texas 23 Constitution; 24 (5)AAprovide a setting conducive to the rapid and 87R11404 YDB-F 1 H.B.ANo.A3 1 orderly restoration and rehabilitation of persons and property 2 affected by a pandemic disaster; 3 (6)AAclarify and strengthen the roles of the governor, 4 state agencies, the judicial branch of state government, and local 5 governments in the prevention of, preparation for, response to, and 6 recovery from a pandemic disaster; 7 (7)AAauthorize and provide for cooperation in pandemic 8 disaster
    [Show full text]
  • FEMA P-1801 South Carolina Dam Failure Assessment and Advisement
    South Carolina Dam Failure Assessment and Advisement DR-SC-4241 FEMA P-1801 / December 2016 Table of Contents Figures ......................................................................................................................................................... iii Tables ........................................................................................................................................................... iv Acronyms and Abbreviations ....................................................................................................................... v Executive Summary .................................................................................................................................... vii Dam Safety in South Carolina ...................................................................................................................... 1 Disaster Declaration DR-4241-SC ................................................................................................................ 3 Meteorological Setup ................................................................................................................................ 3 Flooding and Dam Failures ....................................................................................................................... 4 Precipitation Reconstruction for Dams ......................................................................................................... 7 Background and Metrics ..........................................................................................................................
    [Show full text]
  • Quality Assessment of an Antimicrobial Resistance Surveillance System in a Province of Nepal
    Tropical Medicine and Infectious Disease Article Quality Assessment of an Antimicrobial Resistance Surveillance System in a Province of Nepal Jyoti Acharya 1,* , Maria Zolfo 2 , Wendemagegn Enbiale 3,4, Khine Wut Yee Kyaw 5 , Meika Bhattachan 6, Nisha Rijal 1, Anjana Shrestha 1, Basudha Shrestha 7, Surendra Kumar Madhup 8, Bijendra Raj Raghubanshi 9 , Hari Prasad Kattel 10, Piyush Rajbhandari 11 , Parmananda Bhandari 12, Subhash Thakur 13, Saroj Sharma 14, Dipendra Raman Singh 15 and Runa Jha 1 1 National Public Health Laboratory, Kathmandu 44600, Nepal; [email protected] (N.R.); [email protected] (A.S.); [email protected] (R.J.) 2 Institute of Tropical Medicine, 2000 Antwerp, Belgium; [email protected] 3 Department of Dermatology and Venereology, BahirDar University, 1996 Bahir Dar, Ethiopia; [email protected] 4 Amsterdam UMC, Academic Medical Centre, Department of Dermatology, Amsterdam Institute for Infection and Immunity (AI&I), University of Amsterdam, 7057 Amsterdam, The Netherlands 5 International Union against Tuberculosis and Lung Disease, Paris, France and International Union against Tuberculosis and Lung Disease, Mandalay 11061, Myanmar; [email protected] 6 World Health Organization, Health Emergencies Unit, Kathmandu 44700, Nepal; [email protected] 7 Kathmandu Model Hospital, Kathmandu 44600, Nepal; [email protected] Citation: Acharya, J.; Zolfo, M.; 8 Dhulikhel Hospital, Dhulikhel 45200, Nepal; [email protected] Enbiale, W.; Kyaw, K.W.Y.; 9 KIST Medical College Teaching Hospital, Lalitpur 44700, Nepal; [email protected] Bhattachan, M.; Rijal, N.; Shrestha, A.; 10 Tribhuwan University Teaching Hospital, Kathmandu 44600, Nepal; [email protected] 11 Shrestha, B.; Madhup, S.K.; Patan Hospital, Patan Academy of Health Sciences, Lalitpur 44700, Nepal; [email protected] 12 Raghubanshi, B.R.; et al.
    [Show full text]